Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $2,095.00 / $7,838.38	Facility		$1,000.00	$2,095.00	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,506.05 / $1,601.85 / $8,574.76	Professional		$1,506.05	$1,601.85	$8,574.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,690.06 / $2,535.09 / $3,203.38	Professional		$1,690.06	$2,535.09	$3,203.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,769.24	Professional		$32.34	$32.34	$2,769.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,520.34 / $2,110.13 / $3,060.00	Facility		$1,520.34	$2,110.13	$3,060.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,727.78 / $2,619.60 / $4,226.35	Professional		$1,727.78	$2,619.60	$4,226.35
United Facility/Professional Facility Modifier Low / Median / High Price $3,085.00 / $5,089.00 / $17,636.00	Facility		$3,085.00	$5,089.00	$17,636.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,670.26 / $2,452.42 / $3,847.50	Professional		$1,670.26	$2,452.42	$3,847.50